Doctor Name: | DR. GRISEL INDUSTRIOSO |
NPI Number: | 1558519272 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C |
License Number: | CH 9571 |
Business Practice Address: | 13720 N Cleveland Ave Suite B North Fort Myers, FL - 339034300 |
Business Phone Number: | 2399978100 |
Business Fax Number: | |
Mailing Address: | 12632 Kenwood Ln, B FORT MYERS |
State: | FL |
Postal Code: | 339075629 |
Phone Number: | 6363465032 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2008 |
NPI Last Update Date: | 09/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH 9571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |